| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,704 |
3,412 |
$398K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,297 |
1,216 |
$96.05 |
| 3079F |
|
55 |
53 |
$10.00 |
| 3074F |
|
173 |
162 |
$10.00 |
| 3075F |
|
44 |
43 |
$10.00 |
| 3078F |
|
167 |
158 |
$10.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
474 |
463 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
21 |
20 |
$0.00 |